Individual
JESSICA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2035 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2223
(702) 304-2144
Mailing address
5575 SIMMONS ST, UNIT 1 #563, NORTH LAS VEGAS, NV 89031-9008
(702) 304-2144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002480
NV
Other
Enumeration date
04/07/2017
Last updated
09/03/2024
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